Conn. Civ. Jury Instr. 6.5

CV-17 0000000 S SUPERIOR COURT

PAUL PLAINTIFF JUDICIAL DISTRICT OF

v. NEW BRITAIN

DORA DEFENDANT OCTOBER 17, 2017

VERDICT

FIRST COUNT (NEGLIGENCE)

(Check one box only and fill in additional information as necessary.)

□ We the jury find in favor of the plaintiff PAUL PLAINTIFF against the defendant DORA

DEFENDANT and award damages as follows:

(a) Past medical damages (line __ from jury interrogatories): $___________________

(b) Past lost wages:

$___________________

(c) Future economic damages (medical and/or wages): $___________________

(d) Total economic damages [add (a), (b) and (c)]:

$___________________

(e) Total noneconomic damages:

$___________________

(f) Total damages [add (d) and (e)]:

$___________________

OR

□ We the jury find in favor of the defendants DORA DEFENDANT against the plaintiff PAUL

PLAINTIFF.

SECOND COUNT (STATUTORY RECKLESSNESS)

(To be completed only if the jury finds in favor of the plaintiff on the First Count.

If so, check one box only and fill in additional information as necessary.)

□ We the jury find that the plaintiff PAUL PLAINTIFF has proved, by a preponderance of

the evidence, that the defendant DORA DEFENDANT has recklessly violated the applicable

statute(s) and such violation(s) (was/were) a substantial factor in causing injury to the plaintiff,

And further, that:

(Select one box only.)

□ the plaintiff is not entitled to double or triple damages.

□ the plaintiff is entitled to double damages.

□ the plaintiff is entitled to triple damages.

OR

□ We the jury find in favor of the defendant DORA DEFENDANT against the plaintiff

PAUL PLAINTIFF.

THIRD COUNT (COMMON LAW RECKLESSNESS)

(To be completed only if the jury finds in favor of the plaintiff on the First Count.

If so, check one box only and fill in additional information as necessary.)

□ We the jury find that the plaintiff has proved, by a preponderance of the evidence, that

the conduct of the defendant was reckless and instruct the court to award punitive damages to the

plaintiff.

OR

□ We the jury do not find the conduct of the defendant to be reckless and, therefore, find in

favor of the defendant against the plaintiff.

________________________________

_______________________

Jury Foreperson

Date